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A new bifurcation bench

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A new bifurcation bench

European Bifurcation Club 2011, EBC 2011 – Lisbon, Portugal

HOT NEWS SESSION

A new bifurcation bench

Author: Nicolas Foin, MD, Imperial College, Feops, Gent University and the Royal Brompton NHS Trust, London

 

RESULTS KB vs SB-MV SEQUENCE

  • Ostial stenosis is considerably reduced after dilatation of the SB
  • Strut malapposition in the bifurcation is reduced with SB dilatation followed by KB or SB-MV
  • No proximal malapposition risk with sequen.al SB-MV 2-Step approach

LIMITATIONS

  • SB recrossing was optimised and balloon position controlled
  • Leaving a balloon deflated in the MV guaranty the re-expansion after SB dilatation (in case stent is pulled toward the SB)
  • Need to evaluate risk of carina shift
  • No lesion

FUTURE DIRECTIONS

  • Is KB more suited for certain anatomy ? Y-shape anatomy, Left-Main
  • Other sequential techniques (SMS, POT, etc…)

 

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